What Your Doctor Is Reading: Advanced Prostate Cancer Research

What Your Doctor Is Reading: Advanced Prostate Cancer Research

From AI-generated biopsy reports to new imaging techniques, these are the latest developments in advanced prostate cancer research that your doctor may be keeping tabs on.
What Your Doctor Is Reading: Advanced Prostate Cancer Research

Much of managing advanced prostate cancer is about defining your goals for treatment, easing symptoms, and improving your quality of life. To that end, new research is constantly being published that can help people with advanced prostate cancer make more informed decisions about their care.

Take a look at the latest studies and content that may have landed on your doctor’s desk, as covered on Everyday Health’s website for healthcare professionals, MedPage Today. These tips and findings may surprise you — and even spark some thoughtful dialogue at your next appointment.

ChatGPT May Help You Understand Prostate Biopsy Reports

One study found that artificial intelligence may be useful for simplifying complex biopsy reports. Five urologists and five pathologists evaluated 35 biopsy reports generated by ChatGPT. Despite a few instances of misleading or exaggerated language, the doctors largely felt the reports were complete and accurate overall. Plus, ChatGPT-generated reports could be time-savers. The physicians agreed that it was quicker to make edits to the AI-generated reports than it would be to write reports from scratch.

Doctors Seek to End Overtreatment and Prioritize Quality of Life

Joseph Renzulli, MD, an associate professor of urology at Yale School of Medicine in New Haven, Connecticut, wants to put an end to the overtreatment of people 75 or older with advanced prostate cancer. Dr. Renzulli says there is no advantage — only surveillance — for those who are older and expected to live 10 years or less, as treatment probably won’t have a positive impact on survival. But it will likely harm quality of life.

Although this is a tough conversation to have, it’s necessary for reaching the goal of living as fully and comfortably as possible with advanced prostate cancer.

This Imaging Test May Help Detect Metastatic Prostate Cancer

Researchers at the University of California in Los Angeles studied more sensitive imaging techniques to better understand if they could detect metastatic (meaning the cancer has spread) disease in people with biochemically recurrent cancer that’s been classified as nonmetastatic by conventional imaging. (Biochemically recurrent prostate cancer is when prostate-specific antigen, or PSA, levels rise after treatment, which means the cancer may have returned.) Biochemically recurrent prostate cancer is more easily detected through blood work and not always visible with imaging.

Their findings suggest that these tests, called PSMA (prostate-specific membrane antigen) PET scans, excel at detecting the spread of the disease: The test found metastatic cancer in 46 percent of the participants with cancer that had previously been deemed nonmetastatic.


PSMA PET Scans May Improve Survival and Quality of Life

Another triumph for PSMA PET scans: Research suggests this imaging technique may reduce mortality risk and improve quality of life in men with biochemically recurrent prostate cancer.

“Our results estimated that PSMA PET imaging strategies would result in nearly one additional year of life and 0.8 quality-adjusted life years per patient,” says Michael S. Leapman, MD, an associate professor of urology at Yale School of Medicine in New Haven, Connecticut. Quality-adjusted life years take into account both quantity and quality of life with treatment.

The Counterintuitive Way to Fight Prostate Cancer–Related Fatigue

Fatigue is an expected side effect of prostate cancer treatment. What’s unexpected, though, is Renzulli’s advice for managing it, which is to keep up with your day-to-day as much as possible. He says people with prostate cancer who stick to their regular routines can often cope with fatigue better.

FAQ

How does MedPage Today select studies to cover?
The MedPage Today editorial team aims to provide information on the latest research that directly affects the lives and practices of healthcare professionals and, in turn, the people they serve. Editors select studies that are published in reputable, peer-reviewed journals and fall into one of 30-plus specialty areas.
Reporters and editors for MedPage Today are experienced healthcare journalists who are meticulous about fact-checking and disclosures. On top of expert in-house staff, MedPage Today works with highly experienced freelance journalists. The editorial staff does not cover research produced or sponsored by the drugmaker. Advertisers on MedPage Today have no influence over what articles are written, how they are written, or what they say.
MedPage Today aims to report on studies published within the past six to nine months. Editors pay special attention to research that may have a direct impact on people’s lives and prioritize reporting on such studies.
EDITORIAL SOURCES
Everyday Health follows strict sourcing guidelines to ensure the accuracy of its content, outlined in our editorial policy. We use only trustworthy sources, including peer-reviewed studies, board-certified medical experts, patients with lived experience, and information from top institutions.
Resources
  1. Proctor ES et al. Bridging the Gap: Evaluating ChatGPT-Generated, Personalized, Patient-Centered Prostate Biopsy Reports. American Journal of Clinical Pathology. May 2025.
  2. Holzgreve A et al. PSMA-PET/CT Findings in Patients With High-Risk Biochemically Recurrent Prostate Cancer With No Metastatic Disease by Conventional Imaging. JAMA Network Open. January 3, 2025.
  3. Kunst N et al. Long-Term Outcomes of Prostate-Specific Membrane Antigen-PET Imaging of Recurrent Prostate Cancer. JAMA Network Open. October 23, 2024.

Daniel Landau, MD

Medical Reviewer

Daniel Landau, MD, is a distinguished board-certified hematologist-oncologist with a career that has spanned two eminent institutions: the Orlando Health Cancer Institute and the Medical University of South Carolina. With a specialized interest in genitourinary oncology and hematology, he has been at the forefront of managing both benign and malignant conditions.

Dr. Landau is a pioneering figure in integrating advanced technology into oncology, having served as a director of telemedicine services. Under his leadership, multiple innovative systems have been designed and piloted, all with a singular focus: enhancing the patient experience.

Beyond his clinical and technological endeavors, Landau is deeply committed to medical education. He has dedicated significant time and expertise to nurturing the skills of medical students, residents, and fellows, ensuring that the flame of knowledge and compassion burns bright in the next generation of oncologists.

Jessica Hicks

Jessica Hicks

Author

Jessica Hicks is a writer, editor, and published research author with a background that spans traditional journalism, health tech, and the nonprofit sector. She has experience producing multimedia content for a range of behavioral change, mental health, and lifestyle products and platforms.

As Senior Editor for The Well, Everyday Health’s Content Studio and Innovation Lab, Jessica spends her day to day creating and managing high-quality, science-backed content that helps individuals live their happiest, healthiest lives.

Jessica studied journalism, sociology, and anthropology at Lehigh University. In her free time, you’ll find her figure skating, needlepointing, and organizing meetings for her book club.